Abstract
Diagnostic endoscopic retrograde cholangiopancreatography (ERCP) is a remarkably safe procedure in experienced hands. A series of complications directly related to both the manipulation and cannulation of the ampulla of Vater, as well as consequent to medication and cardiorespiratory events, has been described. Herein we report a case of severe barotrauma complication of diagnostic endoscopic cholangiography.
Similar content being viewed by others
References
Andrew TA, Milne DD (1979) Pneumoperitoneum associated with pneumothorax or pneumopericardium: a surgical dilemma in the injured patient. Injury 11: 65–70
Bilbao MK, Dotter CT, Lee TG, Katon RM (1976) Complications of endoscopic retrograde cholangiopancreatography (ERCP): a study of 10,000 cases. Gastroenterology 70: 314–320
Byrne P, Leung JWC, Cotton PB (1984) Retroperitoneal perforation during duodenoscopic sphincterotomy. Radiology 150: 383–384
Egol A, Culpepper JA, Snyder JV (1985) Barotrauma and hypotension resulting from jet ventilation in critically ill patients. Chest 88: 98–102
Glouberman S, Craner GE, Ogburn RM, Burdick GE (1976) Radiographic survey from extraluminal air following gastrointestinal tract fiberendoscopy. Gastrointest Endosc 22: 165–167
Macklin MT, Macklin CC (1944) Malignant interstitial emphysema of the lungs and mediastinum as an important occult complication in many respiratory diseases and other conditions: an interpretation of the clinical literature in light of laboratory experiments. Medicine 23: 281–358
McCune WS, Shorb PE, Moscovitz H (1968) Endoscopic cannulation of the ampulla of Vater: a preliminary report. Ann Surg 167: 952–956
Nebel OT, Silvis SE, Rogers G, Sugawa C, Mandelstam P (1975) Complications associated with endoscopic retrograde cholangiopancreatography: results of the 1974 A/S/G/E survey. Gastrointest Endosc 22: 34–36
Rozen P, Fireman Z, Gilat T (1982) The causes of hypoxemia in elderly patients during endoscopy. Gastrointest Endosc 28: 243–246
Stutz FH (1971) Bilateral tension pneumothorax after pneumoperitoneum: a case report. Milit Med 136: 894–895
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Doerr, R.J., Kulaylat, M.N., McL. Booth, F.V. et al. Barotrauma complicating duodenal perforation during ERCP. Surg Endosc 10, 349–351 (1996). https://doi.org/10.1007/BF00187390
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00187390